Which head element is more effective for hip fracture implants to prevent implant-related failures? A helical blade or a lag screw

Which head element is more effective for cement augmentation of trochanteric fixation nail advanced implants? Helical blade versus lag screw

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN45341843

Enrollment

Registered

2022-12-24

Start date

2020-11-01

Completion date

Unknown

Last updated

2023-07-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Proximal femur fractures Injury, Occupational Diseases, Poisoning

Interventions

Elderly patients who had intertrochanteric fractures were treated with a trochanteric fixation nail advanced (TFNA) helical blade (Blade group) or a TFNA lag screw (Screw group). In both groups, 4.2 m

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Proximal femur fractures

Exclusion criteria

Exclusion criteria: 1. Occult fracture detected by magnetic resonance imaging only 2. Pathological fracture 3. Presence of pre-existing implants 4. Multiple trauma or additional fracture that would affect the patient’s postoperative rehabilitation

Design outcomes

Primary

Measure	Time frame
Amount of cement distribution measured using CT scan on the day after the surgery	—

Secondary

Measure	Time frame
Clinical outcome measured using a visual analog scale (VAS) scoring and Parker score on postoperative day 14	—

Countries

Japan

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 9, 2026